Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial… (CPT 77301)
77301 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
51 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Parkland Memorial Hospital | Dallas, TX | $1,897.20 | $4,743 | $1,390.44 | 1.4× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $2,658.45 | $4,430.75 | $1,390.44 | 1.9× |
| UCHealth University of Colorado Hospital | Aurora, CO | $2,852.85 | $8,151 | $1,460.10 | 2.0× |
| Cody Regional Health | Cody, WY | $2,932.99 | $3,450.58 | $1,414.11 | 2.1× |
| Banner Wyoming Medical Center | Casper, WY | $3,102.12 | $7,386 | $1,414.11 | 2.2× |
| Sheridan Memorial Hospital | Sheridan, WY | $3,170 | $3,962.50 | $1,414.11 | 2.2× |
| Banner North Colorado Medical Center | Greeley, CO | $4,000.02 | $8,180 | $1,460.10 | 2.7× |
| Parkview Medical Center | Pueblo, CO | $4,224 | $10,560 | $1,460.10 | 2.9× |
| Sterling Regional MedCenter | Sterling, CO | $4,247.10 | $7,425 | $1,460.10 | 2.9× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $4,573.20 | $15,244 | $1,460.10 | 3.1× |
| St. John's Medical Center | Jackson, WY | $4,988 | $4,988 | $1,414.11 | 3.5× |
| Longs Peak Hospital | Longmont, CO | $5,335.40 | $15,244 | $1,476.30 | 3.6× |
| UCHealth Broomfield Hospital | Broomfield, CO | $5,335.40 | $15,244 | $1,460.10 | 3.7× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $5,335.40 | $15,244 | $1,460.10 | 3.7× |
| Mercy Hospital Durango | Durango, CO | $5,471.87 | $13,679.67 | $1,460.10 | 3.7× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $5,552.23 | $9,253.71 | $1,390.44 | 4.0× |
| St. Mary-Corwin Hospital | Pueblo, CO | $5,601.96 | $14,004.90 | $1,460.10 | 3.8× |
| Medical City Dallas | Dallas, TX | $5,611 | $5,611 | $1,390.44 | 4.0× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $5,755.50 | $11,511 | $1,390.44 | 4.1× |
| Montrose Regional Health | Montrose, CO | $5,961 | $7,948 | $1,460.10 | 4.1× |
| Regional West Medical Center | Scottsbluff, NE | $6,336 | $10,560 | $1,437.27 | 4.4× |
| Campbell County Health | Gillette, WY | $6,581.70 | $7,313 | $1,414.11 | 4.7× |
| Community Hospital Grand Junction | Grand Junction, CO | $6,713.56 | $11,988.50 | $1,460.10 | 4.6× |
| Vail Health Hospital | Vail, CO | $6,842.25 | $9,123 | $1,460.10 | 4.7× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $7,151.85 | $15,893 | $1,460.10 | 4.9× |
| Valley View Hospital | Glenwood Springs, CO | $7,459.60 | $8,776 | $1,460.10 | 5.1× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $8,353.07 | $11,932.95 | $1,414.11 | 5.9× |
| Ivinson Memorial Hospital | Laramie, WY | $8,554 | $8,554 | $1,414.11 | 6.0× |
| UCHealth Greeley Hospital | Greeley, CO | $8,676.60 | $14,461 | $1,460.10 | 5.9× |
| Poudre Valley Hospital | Fort Collins, CO | $10,122.70 | $14,461 | $1,460.10 | 6.9× |
| Medical Center of the Rockies | Loveland, CO | $10,122.70 | $14,461 | $1,460.10 | 6.9× |
| Longmont United Hospital | Longmont, CO | $10,754.41 | $26,886.02 | $1,476.30 | 7.3× |
| St. Anthony Hospital | Lakewood, CO | $10,754.41 | $26,886.02 | $1,460.10 | 7.4× |
| Penrose Hospital | Colorado Springs, CO | $10,754.41 | $26,886.02 | $1,460.10 | 7.4× |
| St. Anthony North Health Campus | Westminster, CO | $10,754.41 | $26,886.02 | $1,460.10 | 7.4× |
| OrthoColorado Hospital | Lakewood, CO | $10,754.41 | $26,886.02 | $1,460.10 | 7.4× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $10,754.41 | $26,886.02 | $1,460.10 | 7.4× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $11,719 | $11,719 | $1,414.11‡ | 8.3× |
| HCA HealthOne Rose Medical Center | Denver, CO | $18,912 | $18,912 | $1,460.10 | 13.0× |
| AdventHealth Porter | Denver, CO | $26,572.32 | $26,572.32 | $1,460.10 | 18.2× |
| AdventHealth Avista | Louisville, CO | $26,572.32 | $26,572.32 | $1,476.30 | 18.0× |
| AdventHealth Littleton | Littleton, CO | $26,572.32 | $26,572.32 | $1,460.10 | 18.2× |
| AdventHealth Parker | Parker, CO | $26,572.32 | $26,572.32 | $1,460.10 | 18.2× |
| AdventHealth Castle Rock | Castle Rock, CO | $26,572.32 | $26,572.32 | $1,460.10 | 18.2× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $29,364.25 | $29,364.25 | $1,460.10 | 20.1× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $48,282.30 | $48,282.30 | $1,460.10 | 33.1× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $113,845.08 | $113,845.08 | $1,460.10 | 78.0× |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $10,276.10 | $1,460.10 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $10,276.10 | $1,460.10 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $10,276.10 | $1,476.30 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $12,511.25 | $1,460.10 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.
‡ Price taken from the hospital's inpatient list — no outpatient price posted.